1. Typhoid Fever.... 3. Malarial Fever... 4. Small-pox.... 5. Measles.. 6. Scarlet Fever... Whooping Cough. 9. Influenza... 12. Other Epidemic) Diseases... 13. Tuberculosis Pulmonalis... 14. Tuberculous Men ingitis....... 15. Other forms of Tuberculosis... 16. Cancer, Malignant Tumor... 17. Simple Meningitis. Of which 17a Cerebro Spinal) Meningitis..... 18. Apoplexy, Softening of the Brain 19 Organic Heart Diseases....... 20. Acute Bronchitis.. 21. Chronic Bronchitis. 22. Pneumonia (ex-) cluding Broncho Pneumonia)..... 22a. Broncho Pneumonia 23. Other Respiratory Diseases.. 24. Diseases of the Stomach (Cancer excepted)... 25. Diarrhoeal diseases (under 5 years) 26. Appendicitis and Typhilitis..... 27. Hernia. Intestinal Obstruction..... 28. Cirrhosis of Liver.. 29. Bright's Disease and Ac. Nephritis) 30. Diseases of Women (not Cancer) 31. Puerperal Septicæmia.. 2 2 23 93 3 *If the deaths under one month, numbering 93, from all causes, be deducted from the total deaths under one year, the resultant rate will be 51 deaths of infants per 1,000 births (weekly average July 1, 1912, to July 1, 1913). Corrected Mortality Among Children. Week Ending November 22, 1913. Includes Small Pox, Measles, Scarlet Fever, Diphtheria and Whooping Cough. Deaths According to Cause, Annual Rate per 1,000 and Age, with Meteorology and Number of Deaths in Public Institutions for 14 Weeks. Week Ending 27. 4. Oct Aug. Aug. Sept. Sept. Sept. Sept. Oct. | Oct Oct. Nov. Nov. No 23. 30. 6. 13. 20. 18. 25. 8. 15. 22. Nov. II. 1. Typhoid Fever.. Total deaths.... 1,324 1,274 1,253 1,184 1,359 1,237 1,248 1,301 1,153 1,160 1,183 1,281 1,250 1,388 Annual death-12.86 12.37 12.17 11.50 13.20 rate....... 12.CI 12.12 12.63 11.20 11.26 11.49 12.44 12.14 13.48 Malarial Fevers. 0::030 9 16 I I 20 Cerebro-Spinal Tuberculosis Pulmonalis Meningitis. J 154 140 107 4 27 25 29 2 43 61 110 350 195 189 527 Inquest cases.... 208 ུ8 སནྟ 323 327 443 433 412 389 380 367 334 319 328 295 650 13 93 712 245 573 544 498 569 492 457 522 448 457 445 502 557 194 182 152 194 164 205 224 181 172 200 215 177 199 Mean barometer. 29.99 29.86 30.06 30.01 30.08 29 98 29.73 30.01 29.86 29.85 29.89 30.07 29.83 29.98 Mean humidity.. 62. 69.3 83. 62.7 72. 67.6 73. 85.3 64. 76.3 64. 63 7 60. 75.3 Inches of rain .49in .18in 4.15in .47in 1.18in 1.20in 5.28in 1.13in 1.00in 3.36in 75.1 72.7 71.9° 64.9 61.0 63.7° 61.7 66.3 56.7° 55.1° 52.7° 51.45-3° 52.4 94.0 84.0 84. 86.° 77. 77. 74. 77. 69.0 66.° 72. 65. 65. 2. 45.0 48. 56.56.° 42.0 39.9 133. 38.9 30.° 36.9 61. 60. 61. 49.° DIRECTORY OF THE DEPARTMENT OF HEALTH OFFICES Headquarters: S. W. Corner Centre and Walker Streets, Borough of Manhattan Borough of The Bronx, 3731 Third Avenue. Telephone, 1975 Tremont. Office Hours-9 a.m. to 5 p.m.; Saturdays, 9 a.m. to 12 m. Diagnosis Laboratory, Centre and Walker Streets. Telephone, 6280 Franklin. Telephone, 4400 Flatbush. Telephone, 6280 Franklin. CLINICS FOR SCHOOL CHILDREN Manhattan-Gouverneur Slip. Telephone, 2916 Orchard. P. S. 144 Hester and Allen Streets. Telephone, 5960 Orchard. 1249 Herkimer Street. Telephone, 2684 East New York. The Bronx-580 East 169th Street. Telephone, 2558 Tremont. Richmond-689 Bay Street. (Dental only). Telephone, 686 W. Tompkinsville. 307 West 33d Street. Wednesdays, 8 to 9 p.m. TUBERCULOSIS CLINICS Manhattan-West Side Clinic, 307 West 33d Street. Telephone, 3471 Murray Hill. Harlem Italian Clinic, 420 East 116th Street. Telephone, 2375 Harlem. Southern Italian Clinic, 22 Van Dam Street. Telephone, 412 Spring. Day Camp, Ferryboat "Middletown," foot of East 91st Street. Telephone, 2957 Lenox. The Bronx-Northern Clinic, St. Pauls Place and Third Avenue. Telephone, 1975 Tremont. Southern Clinic, 493 East 139th Street. Telephone, 5702 Melrose. Brooklyn-Main Clinic, Fleet and Willoughby Streets. Telephone, 4720 Main. Germantown Clinic, 55 Sumner Avenue. Telephone, 3228 Williamsburg. Brownsville Clinic, 64 Pennsylvania Avenue. Telephone, 2732 East New York. Eastern District Clinic, 306 South 5th Street, Williamsburg. Telephone, 1293 Williamsburg. Queens-Jamaica Clinic, 10 Union Avenue, Jamaica. Telephone, 1386 Jamaica. Richmond-Richmond Clinic, Bay and Elizabeth Streets, Stapleton. Telephone, 1558 Tompkinsville. SANATORIUM FOR TUBERCULOSIS Otisville, Orange County, N. Y. (via Erie Railroad from Jersey City). Telephone, 13 Otisville. TUBERCULOSIS HOSPITAL ADMISSION BUREAU Maintained by the Department of Health, the Department of Public Charities, and Bellevue and Allied Hospitals, 426 First Avenue. Telephone, 8667 Madison Square. Hours 9 a.m. to 5 p.m. M. B. BROWN PRINTING & BINDING CO. 49 TO 57 PARK PLACE, NEW YORK 522-K-13 (B) 2000 ROCHESTER'S INFANT MORTALITY, CORRECTION OF AN ERROR. Under the head "A Reduction of Infant Mortality," there appeared in the bulletin of August 2 a table in which the death rate and number of deaths occurring from all causes in infants under one year of age were given for a number of cities in New York State. The figures referring to the City of Rochester were starred and a footnote stated that deaths from prematurity were not included. For many years Rochester had not included deaths from prematurity in its report of deaths, but had published them in a separate table in its monthly as well as in its annual reports. In January, 1913, it began to include these deaths in its reports. We are informed by the Health Officer of Rochester that in the January issue of the Bulletin of the State Department of Health, from which our figures were taken, the figures given by Rochester were made to include all deaths from prematurity for the year 1912. The Commissioner of Health of New York State has informed us that the State Department did not see the certificates of deaths from premature birth occurring in the City of Rochester until after the close of the year, when it was called to their attention that these returns had been omitted. They were thereupon placed in Rochester's tabulation, and the death rate for Rochester as given in our chart should have been held to include all deaths from prematurity. Rochester's figures for 1912 per 1,000 births were as follows: Rate, 97.7; deaths, 539. PRENATAL WORK OF THE BUREAU OF CHILD HYGIENE. Another link has been added to the chain of effort in the reduction of infant mortality by extending the activities of the milk stations to include the care of pregnant women. Thirty-six per cent. of infant mortality occurs in the first month, and it is safe to infer that the majority of these children die either because the mothers were physically unfit to bear healthy children or because of their ignorance of the proper care of their offspring during the first weeks of life. The milk station at 2287 ist ave., Manhattan, has been selected as a centre for the instruction of nurses in prenatal work. When sufficiently familiar with its details, they will be assigned to other stations to carry it on. The nurses assigned to this work canvass the neighborhood and persuade expectant mothers to place themselves under medical care as early in prenancy as possible; they communicate with the doctor of the hospital under whose care the patient may be, and explain the desire of the Department of Health to cooperate and the manner and degree in which it is prepared to do so; they instruct mothers in detail with regard to diet, fresh air, food, exercise, clothing, etc., and impress upon them the importance of nursing their infants. In normal cases visits are made every ten days ante-partum and every three day post-partum; in abnormal cases, as often as may be necessary. Visits are made for one month after labor. The mothers are then requested to enroll their children at the milk station, where they are cared for during their first and second years. To date one hundred and seventy-five mothers have been enrolled, of whom twenty-five have given birth to children. While it is too early to show by figures what can be accomplished, it is most gratifying to note the appreciation of the mothers and the enthusiasm of the nurses. DEATH RATE FOR THE WEEK. There were 1.388 deaths and a death rate of 13.48 per 1,000 of the population, as compared with 1,354 deaths and a rate of 13.65 for the corresponding week of 1912, an absolute increase of 34 deaths-corresponding to a decrease relatively of 18 deathsand a decrease of .17 of a point. The death rate from the following causes showed material decreases, scarlet fever diphtheria and croup, diarrhoeal diseases under five years of age, bronchitis, lobar pneumonia and violence. Those causes showing increases were measles, whooping cough, typhoid fever, organic heart diseases, broncho pneumonia, pulmonary tuberculosis and Bright's disease and nephritis. Viewed from the point of age grouping, the mortality under one year of age reresented 40 fewer deaths, and under five years of age 39 fewer deaths than in 1912 The increased mortality was based upon an increase in the diseases affecting adult hie such as pulmonary tuberculosis, organic heart diseases and Bright's disease and nephritis. There were 33 more deaths reported between the ages of five and sixtyfive and 40 more deaths at the ages of sixty-five years and over. The death rate for the first forty-seven weeks of this year was 13.71 per 1,000 f the population as against 14.07 for the corresponding period of 1912, a decrease of 3 of a point. |